Effect Of Implementing Clinical Pathway on Hemodynamic Status, Arterial Blood Gases and PIC Score for Chest Trauma Patients

Abstract

Background: Clinical Pathway is designed to streamline patient care and ensure adherence to evidence-based practices, which may have a positive impact on patient outcomes Aim: the study aimed to evaluate effect of implementing the clinical pathway on chest trauma patients’ Hemodynamic status. Design: A quasi-experimental research design useful in this study. Subject: contained 60 adult patients with chest trauma, equally, divided into study and control group. Setting: The study directed at the trauma intensive care unit at Assiut University Hospital. Tools: three tools were used: Tool 1: Chest trauma assessment sheet, Tool 2: patient's clinical pathway variances checklist, and Tool 3: PIC Score (pain, inspiration, and cough). Result: the current study findings showed that regards score and standard division of study group related to PH, PaO2, Paco2, and SO2 in the last day with statistically significant difference (P=0.000 &p=0.003 respectively between control and study group. Conclusions: According to the findings of this study, the concluded high positive correlation between study and control group related to hemodynamic status.

Recommendation: Continuous training for healthcare providers involved in chest traumas are essential for consistent adherence to the pathway.